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Massachusetts rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,630.78 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $4,168.69
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,165.95 / $16,595.87
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $2,041.74 / $5,011.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $3,235.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,570.40 / $4,786.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,995.26 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $3,235.94
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,165.95 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,137.96 / $3,890.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $6,309.57 / $16,595.87
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,995.26 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,309.57 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,238.72 / $4,786.30